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Tweaking the typical American diet can make it healthier for the heart. Small changes can lower the amount of saturated fat, trans fat, sugar, sodium, and calories and raise the amount of fiber and nutrients. Making these small changes helps keep arteries flexible and lowers the risk of developing fatty plaques that can lead to heart attack. Examples: Substitute vinaigrette salad dressing for creamy dressings; a whole orange for orange juice; nuts instead of potato chips; and whole-wheat pasta with fresh tomatoes, herbs, and virgin olive oil instead of white pasta with meat and cheese.
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When blood pressure is normal measured at home but high when taken at the doctor's office, that indicates "white-coat hypertension." Undergoing 24-hour blood pressure monitoring may help make a correct diagnosis.
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A number of heart diseases are caused by dominant genes, meaning first-degree relatives of a person with the disease have a 50% chance of carrying the disease gene. When one of these diseases occurs in a family, the relative with the most severe manifestation of the disease should undergo comprehensive genetic testing. If a disease-causing gene is found, other family members should consider genetic testing to learn whether they carry the gene. Those who do may need to make lifestyle changes, seek frequent testing, and possibly consider medication.
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There’s a link between dental disease and heart disease, as they share many of the same risk factors. Even though an American Heart Association expert panel recently concluded that there’s no convincing evidence that dental disease causes heart disease, researchers continue to draw that conclusion. People with heart disease should get the same regular periodontal care as anyone else. Those with heart valve problems may need to take antibiotics before dental procedures to prevent mouth bacteria from seeding the heart, a rare but dangerous event that can cause an infection known as bacterial endocarditis.
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Belly fat-fat accumulation around the internal organs, including the heart and arteries-increases risk of heart disease and cancer. Evidence suggests that this kind of fat emits disease-promoting chemical messengers.
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